Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1482026 | WI |
NPI | 1841243185 |
---|---|
Provider Name | Ms. Laura M. Hey |
First Address | Menomonee Falls, WI 53051-1077 |
Second Address | Milwaukee, WI 53211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 08/07/2007 |